NPI Profile for RANDI A BERGLUND in FARGO, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI # | 1235316373 |
|
| Status | Active | |
| Credentials | LAC, LPCC | |
| Entity | Individual | |
| Enumeration date | 01/30/2008 | |
| Last updated | 09/23/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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RANDI A BERGLUND
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